| NPI | 1285652966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILLIS KESSLER Owner 719-565-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-10-25 |